Individual
DAWN H CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(877) 866-7123
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(877) 866-7123
(843) 769-8216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131119
—
SC
Enumeration date
08/29/2006
Last updated
03/28/2019
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